| NPI | 1316310808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J FERRARI Dentist 219-942-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12008255) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |